Braxton, Dorothea

Braxton, Dorothea is an individual health care provider with primary practice located at 3415 Se Powell Blvd , Portland OR 97202-3371. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Braxton, Dorothea can be contacted via phone (503) 813-7727.

Contact Information

Primary practice address
3415 Se Powell Blvd Portland OR 97202-3371
Phone: (503) 813-7727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 201040116RN Oregon

Profile Details

NPI number 1538433008
LBN Legal business name Braxton, Dorothea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2012
Last updated Mar 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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